Backup Documents 10/24/2017 Item #16D 1 160 1
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP P1OIr it: /0/2.0
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document iYalready complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Wendy Klopf Community and Human aK 10.24.17
Services
2. County Attorney Office County Attorney Office
Q..Cc. 23 to l a4-I t)
3. BCC Office Board of County �t T bj,
Commissioners / IcAzy`1,--t
4. Minutes and Records Clerk of Court's Office
x'1'1 l0(2-4i(1 2:3 -
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Wendy Klop HS Phone Number 252-2901
Contact/ Department
10.24.17 Agenda Item Number 16D1
Type of Document Release of Lien Number of Original 2
Attached Documents Attached
PO number or account Please use the SHIP account string for
number if document is recording:791-138791-649030-33467.1
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? -
2. Does the document need to be sent to another agency for additional signatures? If yes, NA
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be WK
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the WK
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's WK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 10.24.17and all changes made during the WK
meeting have been incorporated in the attached document. The County Attorney's
Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the WK
BCC,all changes directed by the BCC have been made,and the document is ready for t e
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
160 1
Prepared by:Wendy Klopf
Collier County Community&Human Services Division
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is
3299 E. Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Impact
Fee Waiver Agreements executed by Immokalee Habitat for Humanity, Inc. to Collier
County, having met the 15 year affordability housing obligation associated with the $67,864.72
of SHIP Impact Fee Waivers, of which is hereby acknowledged does remise, release, quitclaim,
exonerate and discharge from the lien and operation of the said agreement, that certain portion of
the premises conveyed by said lien, more particularly described as follows:
See Exhibit A
The undersigned is authorized to and does hereby release these Liens with respect to the above-
named properties, and consents to these Liens being forever discharged of record with respect to
said properties.
This Release of Lien was approved by the Board of County Commissioners on -
C)thc -' ' , 2017, Agenda Item Number U QC 1 .
ATTEST: BOARD 0 4010 Y COMMISSIONERS
DWIGtIT E. BROCK,CLERK OF COLL,% 4 TY, FLORIDA
By: By: -
Attest as t8 CAdoCL 111 PENNY TA J,/1 R,CHAIR '
9ifiliatinfenlYtim and legali
Jennifer A. Belpedio
Assistant County Attorney k�`
INSTR 5463925 OR 5443 PG 3638
PAGES 2
pWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
RECORDED 10/27/2017 10:37 AM
REC$18.50
160 1
EXHIBIT A
Various lots as listed below for, Naples Manor Lakes, According to the Plat Book thereof, as
Recorded in Plat Book 3, at Page 86 the Public Records of Collier County, Florida.
County 15 year
Managers CO date affordability Legal Description Folio Lien Impact Fee
Approval end date (OR/Pg) Amount
Naples Manor Lakes,
08/26/97 02/08/02 02/08/17 Block 7,Lot 18 62255880000 2342/1910 $6,169.52
Naples Manor Lakes,
08/26/97 02/08/02 02/08/17 Block 7, Lot 19 62255880107 2342/1916 $6,169.52
Naples Manor Lakes,
11/04/97 08/26/98 08/26/13 Block 10,Lot 25 62259280004 2361/0853 $6,169.52
Naples Manor Lakes,
11/04/97 08/26/98 08/26/13 Block 10,Lot 26 62259320003 2361/0859 $6,169.52
Naples Manor Lakes,
11/04/97 08/26/98 08/26/13 Block 10,Lot 27 62259360005 2361/0865 $6,169.52
Naples Manor Lakes,
08/26/97 02/25/98 02/25/13 Block 12, Lot 16 62261650004 2342/1880 $6,169.52
Naples Manor Lakes,
11/04/97 04/04/98 04/04/13 Block 13,Lot 3 62262560009 2361/0877 $6,169.52
Naples Manor Lakes,
11/04/97 03/17/99 03/17/14 Block 13, Lot 17 62263120008 2361/0895 $6,169.52
Naples Manor Lakes,
2/8/1997 12/23/97 12/23/12 Block 13,Lot 29 62263560008 2284/2223 $6,169.52
Naples Manor Lakes,
11/04/97 04/24/98 04/24/13 Block 13,Lot 37 62263880005 2361/0913 $6,169.52
Naples Manor Lakes,
11/04/97 01/03/99 01/03/14 Block 13,Lot 40 62264000004 2361/0925 $6,169.52
Total $67,864.72
160 1
INSTR 5463928 OR 5443 PG 3642
RECORDED 10/27/2017 10:46 AM PAGES 2
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Prepared by:Wendy Klopf COLLIER COUNTY FLORIDA
Collier County Community&Human Services Division REC$18.50
3339 E.Tamiami Trail,Building H,#211
Naples,FL 34112
THIS SPACE FOR RECORDING
RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is
3299 E. Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Impact
Fee Waiver Agreements executed by Habitat for Humanity of Collier County, Inc. to Collier
County, having met the 15 year affordability housing obligation associated with the $137,196.18
of SHIP Impact Fee Waivers, of which is hereby acknowledged does remise, release, quitclaim,
exonerate and discharge from the lien and operation of the said agreement, that certain portion of
the premises conveyed by said lien, more particularly described as follows:
See Exhibit A
The undersigned is authorized to and does hereby release these Liens with respect to the above-
named properties, and consents to these Liens being forever discharged of record with respect to
said properties.
This Release of Lien was approved by the Board of County Commissioners on -
0c' v, , 2017, Agenda Item Number cc .
•
•
ATTEST: • BOARD 0 •, Y COMMISSIONERS
DWIGHT E. BROCK, CLERK OF COLL, '4 TY, FLORIDA
By: ,► By:
UT*1'C, ' PENNY T R,CHAIRS
Attest as to Chairman
signor form and legality:
Jennifer A. Belpe �-j
Assistant County Attorney al'"
16D 1
EXHIBIT A
Various lots as listed below for, Naples Manor Lakes, According to the Plat Book thereof, as
Recorded in Plat Book 3, at Page 86, of the Public Records of Collier County, Florida.
County 15 year
Managers CO date affordability Legal Description Folio Lien Impact Fee
Approval end date (OR/Pg) Amount
Naples Manor Lakes,
02/23/99 05/31/00 05/31/15 Block 2, Lot 19 62251240000 2518/1445 $6,779.52
Naples Manor Lakes,
04/07/98 02/17/99 02/17/14 Block 4, Lot 6 62252440003 2407/1999 $6,169.52
Naples Manor Lakes,
04/07/98 02/17/99 02/17/14 Block 4, Lot 7 62252480005 2407/2006 $6,169.52
Naples Manor Lakes,
06/23/98 04/30/99 04/30/14 Block 4, Lot 20 62252920002 2434/1872 $6,169.52
Naples Manor Lakes,
02/12/01 02/08/02 02/08/17 Block 7, Lot 1 62255240006 2777/2039 $7,698.82
Naples Manor Lakes,
02/08/00 04/26/01 04/26/16 Block 7, Lot 33 62256400007 2640/1108 $7,140.34
Naples Manor Lakes,
02/08/00 05/31/01 05/31/16 Block 8, Lot 2 62256680005 2640/1115 $7,140.34
Naples Manor Lakes,
02/12/01 02/08/02 02/08/17 Block 8, Lot 5 62256800005 2777/2045 $7,698.82
Naples Manor Lakes,
06/27/00 08/10/01 08/10/16 Block 9, Lot 12 62258000007 2692/3381 $7,586.34
Naples Manor Lakes,
09/01/98 07/29/99 07/29/14 Block 11, Lot 12 62260200002 2457/2609 $6,169.52
Naples Manor Lakes,
09/01/98 07/29/99 07/29/14 Block 11, Lot 13 62260220008 2457/2602 $6,169.52
Naples Manor Lakes,
04/07/98 02/17/99 02/17/14 Block 12, Lot 3 62261200001 2407/2013 $6,169.52
Naples Manor Lakes,
12/15/00 12/31/01 12/31/16 Block 12, Lot 30 62262040008 2756/3336 $7,698.82
Naples Manor Lakes,
12/07/00 12/28/01 12/28/16 Block 12, Lot 31 62262080000 2756/3264 $7,698.82
Naples Manor Lakes,
02/23/99 05/25/00 05/25/15 Block 13, Lot 1 62262480008 2518/1452 $6,779.52
Naples Manor Lakes,
12/15/00 08/01/01 08/01/16 Block 13, Lot 20 62263240001 2756/3276 $7,698.82
Naples Manor Lakes,
06/23/98 04/20/99 04/20/14 Block 13, Lot 24 62263400003 2434/1851 $6,169.52
Naples Manor Lakes,
06/23/98 04/20/99 04/20/14 Block 13, Lot 25 62263440005 2434/1858 $6,169.52
Naples Manor Lakes,
02/23/99 12/15/00 12/15/15 Block 15, Lot 5 62265000003 2518/1459 $6,779.52
Naples Manor Lakes,
12/14/99 06/14/01 06/14/16 Block 18, Lot 16 62266480004 2622/0581 $7,140.34
Total $137,196.18